Jane A Pontisso
Primary Podiatric Medicine
1334 Sheridan Dr Suite 4
Lancaster
, Ohio 43130-3956
Jane A Pontisso
Primary Podiatric Medicine
1334 Sheridan Dr Suite 4
Lancaster
, Ohio 43130-3956
(740) 689-1459
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About
Features
Specialties
- Primary Podiatric Medicine
Languages spoken
- English
Location
First Address
- Jane A Pontisso
- 1334 Sheridan Dr Suite 4
- Lancaster, OH
- Zip : 43130-3956
- Fax : (740) 689-1459
- Phone : (740) 687-9345
Second Address
- Jane A Pontisso
- 1334 Sheridan Dr Suite 4
- Lancaster, OH
- Zip : 43130-3956
- Fax : (740) 689-1459
- Phone : (740) 687-9345
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213EP1101X | Primary Podiatric Medicine | 36-003276 | OH |
National Provider Identifier
| NPI | 1558441733 |
|---|---|
| Provider Name | Jane A Pontisso |
| First Address | Lancaster, OH 43130-3956 |
| Second Address | Lancaster, OH 43130-3956 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/10/2006 |
| Last Update Date | 05/11/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2402073 | (05) | OH |
| JASP04681 | MEDICARE GROUP (01) | OH |
| U92278 | (02) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.